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Individual
MATTHEW RAY ROSSOW
Active
Individual
MATTHEW RAY ROSSOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
Primary
202212343RN
OR
Other
Enumeration date
07/06/2021
Last updated
09/18/2025
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